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An Introductory Guide to The Exposome of Modern Life

by The Root Cause Physician

Everything your body meets between waking and sleeping — and what it does over years. Plus new episodes as they land.

MBBS — Bachelor of Medicine, Bachelor of Surgery

AFIH — Associate Fellow of Industrial Health, CLI Mumbai

IFM, USA — trained Functional Medicine & Longevity Practitioner

The Root Cause Physician in consultation

The exposome

Everything your body meets between waking and sleeping.

The word was coined in 2005 for the total of every environmental exposure across a lifetime, beginning before birth. Your genome is fixed at conception and can be read once. Your exposome changes by the hour — and almost nobody is reading it at all.

Six routes in, across the five recognised classes of occupational hazard — chemical, physical, ergonomic, temporal and psychosocial. Most of us meet all five before lunch.

Exposure by occupation

What does your work put into your body?

In 1700 Bernardino Ramazzini proposed adding one question to the medical history: what is your occupation? Find yours, and see what it exposes a person to — and which systems have to answer for it.

Illustrative only, and not a diagnosis — actual exposure depends on the workplace, the hours, the duration and the protective measures in place. Colours mark the five recognised classes of occupational hazard.

Understand your root cause

Where would you like to begin?

Who I see

Six ways in.

Different starting points, the same method — find what the body has been responding to before deciding what to do about it.

Consultations

Your reports are normal and you don't feel normal.

That sentence is where most of my consultations begin. “Normal” is a statement about a population, not about you — and it says nothing at all about what you've been exposed to.

First · 75 minutes

The history nobody took

Where you work, how you travel, what you breathe indoors, what you've eaten for a decade, what changed before the symptoms started. Longer than you're used to, because it has to be.

Then · investigation

What's worth measuring

Testing chosen for your history, not a panel ordered by default. I'll tell you what each test can show and, just as importantly, what it can't.

After · review

A plan you can actually run

Sequenced, specific, and built around a life you're not going to leave. Reviewed at intervals, adjusted with evidence.

The instrument

The one-page exposure history

Ramazzini's question stayed in clinical practice for two centuries, then quietly disappeared. This is that question, rebuilt as a single page — free, and free for any physician to use. Message me and I'll send it across.

Ask for it on WhatsApp

Watch

The Genesis — episode one. Watch on YouTube.

Training

Two disciplines, rarely held together.

Occupational medicine is where medicine learned to measure exposure. Functional medicine is where it learned to act on it. Very few physicians in India are trained in both.

MBBS

Bachelor of Medicine, Bachelor of Surgery. Registered medical practitioner.

In good standing under the National Medical Commission.

AFIH

Associate Fellow of Industrial Health, CLI Mumbai.

The qualification recognised under the Factories Act for statutory occupational health examination in India.

IFM, USA

Trained Functional Medicine & Longevity Practitioner, Institute for Functional Medicine, USA.

Root-cause assessment and systems-based clinical practice.

Get in touch

Start with the history.

Message me on WhatsApp with what's been happening and how long it's been going on. Writing on behalf of an organisation? Send your sector, headcount and sites.

Email instead

Practice
Goa · Alibaug · Mumbai · Worldwide
By prior appointment only
Email
dr@therootcausephysician.com
Please note
This site is for information only. Nothing here is a diagnosis or a substitute for clinical examination. WhatsApp is for enquiries and scheduling, not for medical advice or emergencies. If your symptoms are severe or worsening, seek urgent care.